Questionnaire-example-f201-lifelines.json

Real-world lifelines questionnaire (fictively taken from the patient)

{
  "resourceType": "Questionnaire",
  "text": {
    "status": "generated",
    "div": "<div>\n      <p>\n        <b>Generated Narrative</b>\n      </p>\n      <p>\n        <b>status</b>: completed\n      </p>\n      <p>\n        <b>authored</b>: 18-Jun 2013 0:0\n      </p>\n      <p>\n        <b>subject</b>: Roel\n      </p>\n      <p>\n        <b>author</b>: \n        <a href=\"practitioner-example-f201-ab.html\">UZI-nummer = 12345678901 (official); Dokter Bronsig(official); Male; birthDate: 24-Dec 1956; Implementation of planned interventions; Medical oncologist</a>\n      </p>\n      <p>\n        <b>source</b>: \n        <a href=\"practitioner-example-f201-ab.html\">UZI-nummer = 12345678901 (official); Dokter Bronsig(official); Male; birthDate: 24-Dec 1956; Implementation of planned interventions; Medical oncologist</a>\n      </p>\n      <p>\n        <b>name</b>: \n        <span title=\"Codes: {https://lifelines.nl VL 1-1, 18-65_1.2.2}\">Lifelines Questionnaire 1 part 1</span>\n      </p>\n      <p>\n        <b>identifier</b>: Roel's VL 1-1, 18-65_1.2.2 = ?? (temp)\n      </p>\n      <blockquote>\n        <p>\n          <b>group</b>\n        </p>\n        <blockquote>\n          <p>\n            <b>group</b>\n          </p>\n        </blockquote>\n        <blockquote>\n          <p>\n            <b>group</b>\n          </p>\n        </blockquote>\n        <blockquote>\n          <p>\n            <b>group</b>\n          </p>\n        </blockquote>\n      </blockquote>\n    </div>"
  },
  "status": "completed",
  "authored": "2013-06-18T00:00:00+01:00",
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "author": {
    "reference": "Practitioner/f201"
  },
  "source": {
    "reference": "Practitioner/f201"
  },
  "name": {
    "coding": [
      {
        "system": "https://lifelines.nl",
        "code": "VL 1-1, 18-65_1.2.2",
        "display": "Lifelines Questionnaire 1 part 1"
      }
    ]
  },
  "identifier": [
    {
      "use": "temp",
      "label": "Roel's VL 1-1, 18-65_1.2.2"
    }
  ],
  "group": {
    "group": [
      {
        "question": [
          {
            "text": "Do you have allergies?",
            "answerString": "I am allergic to house dust"
          }
        ]
      },
      {
        "header": "General questions",
        "question": [
          {
            "text": "What is your gender?",
            "answerString": "Male"
          },
          {
            "name": {
              "text": "What is your date of birth?"
            },
            "answerDate": "1960-03-13"
          },
          {
            "name": {
              "text": "What is your country of birth?"
            },
            "answerString": "The Netherlands"
          },
          {
            "name": {
              "text": "What is your marital status?"
            },
            "answerString": "married"
          }
        ]
      },
      {
        "header": "Intoxications",
        "question": [
          {
            "text": "Do you smoke?",
            "answerString": "No"
          },
          {
            "text": "Do you drink alchohol?",
            "answerString": "No, but I used to drink"
          }
        ]
      }
    ]
  }
}